Surgical pathology level 5 gross & microscopic examination at MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
$2,986.61
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,986.61
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$209.06 with Superior Health Plan vs $2,986.61 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Superior Health Plan | STARHealth | $209.06 | ↓ -93% |
| Superior Health Plan | CHIP | $209.06 | ↓ -93% |
| Superior Health Plan | STARKids | $209.06 | ↓ -93% |
| Superior Health Plan | STARPLUS | $209.06 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $209.06 | ↓ -93% |
| Aetna | QHPHIX | $271.04 | ↓ -91% |
| United | AllPayerAppendix | $291.26 | ↓ -90% |
| United | SmallGroup | $291.26 | ↓ -90% |
| United | NarrowNetworkIndivExchange | $291.26 | ↓ -90% |
| Optum Health | MCD | $328.53 | ↓ -89% |
| Aetna | NewBusiness | $373.32 | ↓ -88% |
| Aetna | COMM | $397.61 | ↓ -87% |
| Aetna | Meritain | $397.61 | ↓ -87% |
| Cigna | IFP | $403.19 | ↓ -87% |
| Cigna | QHP | $418.13 | ↓ -86% |
| BCBS | BluePremier | $430.78 | ↓ -86% |
| Aetna | OON | $467.93 | ↓ -84% |
| BCBS | BlueAdvantageHMO | $495.97 | ↓ -83% |
| BCBS | MyBlueHealth | $495.97 | ↓ -83% |
| BCBS | BlueEssentialsAccess | $515.81 | ↓ -83% |
| BCBS | BlueEssentials | $515.81 | ↓ -83% |
| BCBS | EPOSOA | $541.31 | ↓ -82% |
| BCBS | PPO | $566.82 | ↓ -81% |
| Religious Order of Jehovah Witness | LOGOV | $597.32 | ↓ -80% |
| Oscar | HIX | $621.21 | ↓ -79% |
| United | OptionsPPO | $642.12 | ↓ -79% |
| Unicare | CHIP | $716.79 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $731.72 | ↓ -75% |
| Healthcare Highways NTX | NarrowNetwork | $761.59 | ↓ -74% |
| Evry Health | COMM | $770.55 | ↓ -74% |
| Cigna | LocalPlus | $806.01 | ↓ -73% |
| Cigna | NewBusiness | $806.81 | ↓ -73% |
| Cigna | NetworkBenefit | $900.26 | ↓ -70% |
| Cigna | OpenAccessPlus | $900.26 | ↓ -70% |
| Cigna | HMO | $900.26 | ↓ -70% |
| Healthcare Highways | CityofPlano | $1,009.47 | ↓ -66% |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $1,045.31 | ↓ -65% |
| Cigna | AllOther | $1,139.39 | ↓ -62% |
| Prominence Health Plan | HIX | $1,194.64 | ↓ -60% |
| BCBS | Traditional | $1,326.05 | ↓ -56% |
| City of McKinney | COMM | $1,343.97 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $1,343.97 | ↓ -55% |
| Emerging Therapy Solutions | MCR | $1,463.44 | ↓ -51% |
| National ChoiceCare | WCOMP | $1,493.31 | ↓ -50% |
| Humana | COMM | $1,536.55 | ↓ -49% |
| Aetna | ASA | $1,573.94 | ↓ -47% |
| PC Texas Partners | WCOMP | $1,642.64 | ↓ -45% |
| Cigna Lifesource | COMM | $1,642.64 | ↓ -45% |
| Aetna | WCOMP | $1,642.64 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,642.64 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,642.64 | ↓ -45% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $1,672.50 | ↓ -44% |
| Averde Health, Inc | PPO | $1,732.23 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,759.11 | ↓ -41% |
| Aetna Coventry First Health | EXCLUSIVE | $1,759.11 | ↓ -41% |
| Emerging Therapy Solutions | COMM | $2,001.03 | ↓ -33% |
| Multiplan PHCS | PrimaryNetwork | $2,090.63 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $2,090.63 | ↓ -30% |
| Mega Life | MGMCRPPO | $2,090.63 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $2,120.49 | ↓ -29% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,239.96 | ↓ -25% |
| USC Health Services | COMM | $2,389.29 | ↓ -20% |
| USA Managed Care | COMM | $2,389.29 | ↓ -20% |
| Galaxy Health Network | PPO | $2,538.62 | ↓ -15% |
| Optum Health (URN) | COMM | $2,658.08 | ↓ -11% |
| National Healthcare Solutions | COMM | $2,986.61 | ↑ +0% |
| Unicare | MCD | $2,986.61 | ↑ +0% |
| Independent Medical Systems | COMM | $2,986.61 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $476.75 | $35.00 – $890.45 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $330.45 | $48.21 – $330.00 |
| Methodist Charlton Medical Center | Dallas | $214.50 | $218.39 – $950.92 |
| Methodist Dallas Medical Center | Dallas | $214.50 | $218.39 – $972.22 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $1,536.55 – $1,536.55 |
| Adventhealth Rollins Brook | Lampasas | $1,114.69 | $1,091.13 – $1,091.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $519.16 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $491.47 | $36.00 – $890.45 |